Individual
MRS. VENESTER AZMAVET PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 JASON CT, MCDONOUGH, GA 30252-8526
(770) 288-2379
Mailing address
15 JASON CT, MCDONOUGH, GA 30252-8526
(770) 288-2379
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN166520
GA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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